MS. SUSAN GRACE STANTON (NPI# 1356538177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356538177 |
| Entity Type | Individual |
| Full Name | MS. SUSAN GRACE STANTON |
| Other Name | SUSAN GRACE |
| Credential | P.A.-C. |
| Practice Address |
2500 Rocky Mountain Ave Suite 100 Loveland CO 80538-9004 |
| Practice Telephone | 9706241800 |
| Practice Fax Number | 9706241891 |
| Mailing Telephone | 9706241800 |
| Mailing Fax Number | 9706241891 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2017-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0002498 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 69054371 | 05 | |
| CO | RR MEDICARE | P00757962 | 01 |
| WY | 134090500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750776522 | Susan Gail Stanton | Occupational Therapist | 1073 Durbin Parke Dr, Saint Johns, FL 32259-4265 | 2015-03-30 |
| 1003231739 | Susan E Stanton | Counselor | 480 University Ave, Fairbanks, AK 99709-3639 | 2014-03-04 |
| 1932471992 | Susan Marie Stanton | Counselor | 870 82nd Dr, Building C, Gladstone, OR 97027-1803 | 2012-02-06 |
| 1205262516 | Susan Marie Stanton | Social Worker | 165 N Columbus Ave, Mount Vernon, Board of Education, Mount Vernon, NY 10553-1101 | 2013-09-18 |
| 1477837581 | Susan Lynn Stanton | Physician Assistant | 9500 Euclid Ave, Epilepsy Department, Cleveland, OH 44195-0001 | 2011-10-07 |
| 1942535307 | Susan Tracy Stanton | Marriage & Family Therapist | 15 Division St, Greenwich, CT 06830-4606 | 2009-10-02 |
| 1851624365 | Susan Stanton | Psychologist | 2101 S Ih 35, Ste. 300, Austin, TX 78741-3800 | 2009-09-15 |
| 1508018078 | Susan Elaine Stanton | Spec/Tech, Pathology | 1481 W 10th St, Indianapolis, IN 46202-2803 | 2008-10-16 |
| 1194888164 | Susan Stanton | Social Worker | 100 Deerfield Rd, Windsor, CT 06095-4252 | 2006-12-19 |
| Street Address |
2500 ROCKY MOUNTAIN AVE SUITE 100 |
| City | LOVELAND |
| State | CO |
| Zip Code | 80538-9004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356347751 | Lynn M Kincanon | Registered Nurse | 2500 Rocky Mountain Ave, Unit 100, Loveland, CO 80538-9004 | 2005-06-22 |
| 1467051219 | Poudre Valley Medical Group, LLC | Social Worker | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-10-22 |
| 1700490844 | Leah Salmans | Nurse Practitioner | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-09-05 |
| 1790393494 | Poudre Valley Medical Group, LLC | Internal Medicine | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-07-20 |
| 1376168575 | Reach Air Medical Services LLC | Ambulance | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-06-12 |
| 1104455070 | Heather Gagne | Registered Nurse | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-04-03 |
| 1801424965 | Joseph Burgess | Physical Therapist | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-04-01 |
| 1407484389 | Elba Morales | Registered Nurse | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2020-03-27 |
| 1881232833 | Eva Joanne Abram | Advanced Practice Midwife | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2019-12-19 |
| 1366900193 | Melanie Griffith Roberts | Registered Nurse | 2500 Rocky Mountain Ave, Loveland, CO 80538-9004 | 2019-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332385 | Jocelyn Stott | Social Worker | 1611 N Estrella Avenue, Loveland, CO 80538 | 2020-10-02 |
| 1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
| 1578102752 | Shela Wagner | Student in an Organized Health Care Education/Training Program | 2603 North Monroe Ave, Loveland, CO 80538 | 2020-01-05 |
| 1184261901 | Sierra Compton | Behavior Technician | 2906 Ginnala Drive, Loveland, CO 80538 | 2019-12-01 |
| 1497306138 | Warrior Diagnostics, Inc. | Clinical Medical Laboratory | 6215 Aviation Cir., Loveland, CO 80538 | 2019-09-24 |
| 1093372625 | Kimberly Ann Boogaerts | Behavior Technician | 1437 North Denver Ave Ste 237, Loveland, CO 80538 | 2019-05-20 |
| 1033676101 | Hero Vision of Loveland, LLC | Optometrist | 3515 Mountain Lion Drive, Loveland, CO 80538 | 2019-02-26 |
| 1225509201 | Mbbk Consulting Inc. | Day Training, Developmentally Disabled Services | 4115 Georgetown Drive, Loveland, CO 80538 | 2018-12-17 |
| 1457833808 | Judy A Elliott | Speech-Language Pathologist | 3232 Williamsburg St, Loveland, CO 80538 | 2018-09-02 |
| 1245756584 | Beth Joyce Hale | Counselor | 1440 W.29th, #100, Loveland, CA 80538 | 2017-08-18 |
| Find all providers in zip 80538 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598248338 | Diana Ruiloba | Physician Assistant | 4317 Lyric Falls Dr, Loveland, CO 80538-7149 | 2018-09-07 |
| 1255648598 | Matthew Emmett Harris | Physician Assistant | 1625 Foxtrail Dr Ste 190, Loveland, CO 80538-9089 | 2010-09-08 |
| 1003014853 | Sarah Caufield Kray | Physician Assistant | 1135 N Lincoln Ave Ste 6, Loveland, CO 80537 | 2007-07-03 |
| 1699894923 | Chad Ernest Smith | Physician Assistant | 1703 E 18th St, Loveland, CO 80538-4283 | 2007-03-28 |
| 1447339536 | Douglas Penn Hornberger | Physician Assistant | 3850 Grant Ave Ste 200, Loveland, CO 80538-8431 | 2006-11-02 |
| 1922087238 | Victor Palomares | Physician Assistant | 3850 N Grant Ave, Suite 200, Loveland, CO 80538-8431 | 2006-01-13 |
| 1902889124 | Kathryn L Olsen | Physician Assistant | 1708 Boise Ave, Loveland, CO 80538-4204 | 2005-11-22 |
| 1508864299 | Wayne Williamson | Physician Assistant | 302 3rd St Se, Suite 150, Loveland, CO 80537-6419 | 2005-07-07 |
| 1679571343 | Barbara Ann Tehrani | Physician Assistant | 450 N Cleveland Ave, Loveland, CO 80537-5508 | 2005-07-07 |
| 1598365330 | Big Thompson Emergency Physicians, PC | Physician Assistant | 2000 Boise Ave, Loveland, CO 80538-4281 | 2020-10-30 |
| Find all providers in LOVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.